Exam 2 Study Guide Flashcards

(35 cards)

1
Q

hunger

A

A physiologic sensation that prompts us to eat. Our body senses the need to eat which may be nonspecific
(not driven by appetite) rather physiologic in low blood glucose affecting regulatory hormones.
empty feeling

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2
Q

satiety

A

The state reached in which there is no longer the desire to eat. Can refer to the feeling of fullness
between meals
full feeling

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3
Q

satiation

A

The feeling of fullness during a meal which may influence the action of stopping a meal
when eating stops

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4
Q

appetite

A

A psychological desire to consume specific foods. It is
aroused by environmental cues such as sight, smell,
and/or sound which prompts emotions or memories.
pleasant anticipation

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5
Q

Hunger and satiety organ origin

A

hypothalamus

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6
Q

ileal break

A

Food lipids (dietary fats) that are not
digested pass on to the distal portion of
the small intestine (ileum) this slows
digestion and triggers satiety hormone
communication in the brain

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7
Q

ghrelin

A

regulates appetite and increases amount of food one may eat;
ghrelin levels increase before a meal and fall about 1 hour post meal;
ghrelin levels may increase after weight loss perhaps resulting in recurrent weight gain after weight loss

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8
Q

leptin

A

protein produced by adipose cells;
primary role is to reduce food intake and cause a decrease in body weight/fat
obesity gene codes for production of leptin. when gene reduces the ability of adipose cells to synthesize leptin in sufficient amounts; food intake increased and energy output reduced = weight gain

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9
Q

hormones

A

chemical messengers coordinate various functions throughout the body. They act as regulators of physiologic processes.
Roughly, 50 hormones are identified in the human body with
various regulatory processes.
Various organs, glands, and tissues release hormones
(hypothalamus, pituitary gland, adrenal glands, adipose tissue, gut, and placenta).

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10
Q

neurotransmitters

A

chemical messengers which carry chemical messages from
one neuron (nerve cell) to a target cell.
They can influence a neuron in one of three ways: excitatory,
inhibitory, or modulatory.

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11
Q

insulin

A

helps regulate blood glucose levels and influence satiety by acting on hypothalamus;
reduces appetite by enhancing effects of leptin and promoting glucose uptake;
levels increase after eating to manage blood sugar and energy balance

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12
Q

3 main hormones associated with satiety and hunger regulations

A

ghrelin
leptin
insulin

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13
Q

brain gut axis

A

The gastrointestinal system is highly linked
with the central nervous system.
* Gut microbiota aids in the regulation of
neurotransmitters such as serotonin, GABA, and
dopamine.
* A decrease in diversity results in GI or mood
distress.
* Stress increased inflammation in the gut and can
shift the diversity of bacteria.

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14
Q

peptide yy or pyy

A

A protein produced in the GI tract.
Released postprandial/meal related to the
energy content of the meal.
* Decreases appetite and inhibits food
intake.
Obese individuals may have lower levels
of PYY when fasting and show less
increase postprandial

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15
Q

adipose tissue

A

Adipose is considered a type of connective tissue composed of fat cells called adipose cells or
adipocytes

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16
Q

adipocyte

A

is the specialized cell that can effectively store triglyceride, normal adipose tissue function in buffering
excessive caloric intake is able to prevent systemic
metabolic consequences related to high glucose and
lipid content in non-adipose cells

17
Q

cell signals

A

Cell signaling or Signal transduction is the process by
which an external or internal stimuli activates a
receptor, which in turn sets up an amplification pathway
is that they call it that alters intracellular physiology –
for instance, pathways of growth and development,
muscle contraction, hormone signaling

18
Q

white tissue

A

The major form of adipose tissue in
mammals (commonly referred to as “fat”) is
white adipose tissue, WAT. Main storage is
the form of triacylglycerol

19
Q

brown tissue

A

Specialized adipose tissue that is primarily
tasked with thermogenesis, is brown adipose tissue, BAT. BAT specializes in the production of heat (adaptive thermogenesis) and lipid oxidation

20
Q

beige tissue

A

thermogenesis, anti-inflammatory properties, cardioprotective

21
Q

adipogenesis

A

origin and development of adipose cells and tissue

stem cells -> adipogenesis -> preadipocytes -> PPARG -> mature adipocytes

22
Q

hyperplasia

A

cell number increase; number of cells remain hyperplastic when dieting. approaches to reduce can be through liposuction or cyrolipolysis

23
Q

hypertrophy

A

cell size increase; adipocytes increase in size if energy intake exceeds expenditure; with dieting and exercise to reduce body fat, the fat mass will shrink at cell level

24
Q

inflammation

A

protective response involving host
cells, blood vessels and proteins that eliminate the initial
cause of cell injury. Pending the degree of obesity, a
systemic response may be triggered resulting in
inflammation/immune cells to adipose tissue.
In inflammation there is an increase in circulating pro-
inflammatory cytokines and C-reactive protein

25
inflammation and adipose tissue
cytokines: The significance of inflammatory responses elicited via secretion of adipose tissue-derived (WAT) cytokines relates to the fact that their production and secretion is increased in obese individuals macrophages: A key change in adipose tissue during obesity is an increase in the percentage of macrophages resident within the tissue. Macrophages are a primary source of pro-inflammatory cytokines secreted by adipose tissue. The primary adipokine responsible for this infiltration is monocyte chemotactic protein-1 (MCP-1).
26
adiponectin
hormone and an adipokine protein; lower than normal adiponectin levels are associated with endocrine disorders including obesity
27
irisin
A myokine (muscle-derived signal protein) (i.e. irisin) is released into the blood during exercise to trigger the transformation of white fat cells into more active brown fat cells
28
irisin and adipose tissue changes
UPC-1 provides an alternative route for protons to uncouple the oxidative phosphorylation process in the ETC to release energy as heat rather than stored as energy (ATP). By releasing energy as heat rather than storing it. The body burns more calories. Muscle cells may communicate with fat cells to transform from regular white fat cells to a form of white fat cells that function like brown fat cells
29
division of responsibility: child
1) determine how much: Children will eat based on their fullness cues. To reduce food waste, offer the appropriate size portions for the child 2) grow through observation: Children are curious and observant. They learn from watching others. Caregivers should model food behaviors as well as other children 3) Make mealtime fun: he environment around mealtime should be positive. Including the atmosphere and acceptance of the child's feelings
30
division of responsibility: caregiver
1) provide regular meals and snacks: toddlers: 2-3 hours Preschoolers: 3-4 hours Provide regular meals and snacks at defined times. Aids in body's fullness cues 2) choose and prepare foods: Prepare foods which provide a variety of options. However, do not cater to the child's likes or dislikes. 3) led by example - role model: Show child how to behave at meals. Including how you eat, what, and how you relate to food 4) provide the right location: Define the space with play and eat areas. Make meals pleasant with positive environment and limited distractions.
31
obesogenic diet
high fat high salt low nutrients high calorie high sugar
32
maternal parameters impacting inflant
1) mothers bmi (gestational weight gain) 2) mothers pre-pregnancy weight gain (bmi) 3) quality of mothers diet intake during gestation
33
possible counseling types associated with parental counseling and pediatric counseling related to obesity
1) feedback: listen to patients nutrition concerns then provide an empathetic statement on how unhealthy behaviors are contributing to bmi, weight 2) responsibility: emphasize its the patients responsibility and freedom of choice to make changes to daily lifestyle habits including nutrition and exercise 3) advice: provide advice of importance of choosing to make better lifestyle choices 4) menu: offer 2-3 different goals for patient to choose from regarding behavior and lifestyle modifications 5) empathy: listen and reflect on patients statements and feelings 6) self-efficacy: instill optimism and confidence in patients attitude towards change
34
childhood obesity bmi categories
overweight: 85th to less than 95th percentile obese: 95th percentile or greater underweight: less than 5th percentile
35
ecological model of childhood oberweight
1) Child weight status 2) child characteristics and child risk factors: gender, age, dietary intake, physical activity 3) parenting styles, family characteristics, and in utero influences: food available at home, nutritional knowledge, parents weight status, parent encouragement of child activity 4) community, demographic, and societal characteristics: ethnicity, socioeconomic status, rurality, accessibility of convenience foods and restaurants